NPI | 1326407784 |
---|---|
Former Name | DEENA ZACHARIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA031673) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 019209) |
Enumeration Date | 2016-02-14 |
Last Update Date | 2020-09-03 |